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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stoclaon,CA 95202-2708• Phone(209)468-3420 <br /> Donna Henan,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program Permit Valid <br /> Record ID Number Program Code and Description <br /> PR051780 PT0011719 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2002 To 1213112002 <br /> Hazardous Waste Generator Program: <br /> Califomia Health an_d__S__a__f_e_ty Code_Div_20,Chap_6.5,Art.-2-13 Sec_25100 et seq,and Title 22 California Code of Regulations,Chap:20_____..�y31/2002 <br /> PR050622 2300-UNDERGROUND STORAGE TANK FACILITY 111/2002 To <br /> Underground Storage Tank Program: <br /> Califomia Health and SafelX_Code Div.20,Chap,6.7 and Title 23 Califom_ to Code of Regulations Chap,16--------- ________________.__.----..__--.____-------. <br /> P ry <br /> P/B Tank# Tan Record ID Permit# Ca act Contents Permit Status System Type Leak Detecaon <br /> REGULAR UNLEADED Active,blllable DOUBLEWALLED -Continuous htershbal <br /> 2362 1 390005062210506222 PT0008690 20,000 Manitonng <br /> 2360 2 390005062210506223 PT0008689 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED cmunuous Interstitial <br /> Monitonng <br /> 2360 3 390005062210506224 PT0008688 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitlal <br /> Monitor to <br /> x,44=037709 111 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating Permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Title 23,Chap.16 and 18,as well as any <br /> conditions established by San Joaquin County. <br /> 3) If the Tank operatm(s)is different from the Tank owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that <br /> both the Tank Owner and tank operator receive a copy of the permit <br /> 4) Written Monitoring Procedures and an Emergency Response Plan mast be approved by the Envirommenml Health Department(EHD)and are considererd UST Permit Conditions. The <br /> approved monitoring,response,and plot plans shall be maintained onsite with the permit. <br /> 5) The Pemdmee shall comply with the monitoring procedures referenced in this permit <br /> 6) The Pemninee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer, <br /> and provide documentmon of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR Chap.16,Am 5,and the approved Emergency Response <br /> Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring <br /> was performed. <br /> 9) The EHD shall be nwtified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including change in lank contents or usage),the Permit to Operate will be subject to review,modification or <br /> revocation. <br /> 11) Consmu:don,repan and/or removal pemum are required from the EHD prior W any change,repair or removal of UST system equipment <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this pemnit. <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of my other Federal,State or Local agency. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HALLOW YOUSIF <br /> DBA: FLAG CITY ARCO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. FLAG CITY ARCO AM/PM Facility ID FA0007287 <br /> 14931 N FLAG CITY BLVD Account ID AR0010766 <br /> LODI. CA 95242 Issued 312912002 <br /> Billing Address: ATTN : YOUSIF HALLOW <br /> FLAG CITY ARCO AM/PM <br /> 14931 N FLAG CITY BLVD <br /> LODI, CA 95242 <br /> 7023 rpt <br />